Individual
DR. RYAN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7411 HOPE DR STE C, FORT WAYNE, IN 46815-5687
(260) 234-5400
(260) 234-5395
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01084461A
IN
207R00000X
Internal Medicine Physician
4301112007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300041791
—
IN
01
—
P02645932
RAILROAD PTAN
IN
01
—
Q00261098
RAILROAD PTAN
IN
Enumeration date
05/18/2017
Last updated
01/09/2025
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